Individual
THOMAS ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 159, GROTON, CT 06349-5159
(860) 694-2876
(860) 694-3874
Mailing address
PO BOX 397, KAHULUI, HI 96733-6897
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0116037098
VA
208D00000X
General Practice Physician
Primary
0102208264
VA
Other
Enumeration date
05/27/2022
Last updated
06/08/2026
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